Individual provider Active NPI

Delaram Sahebzamani, DNP FNP-BC

  • Family Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1588237705
Registry record updated Jul 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
APRN11012649 Issued in FL
Practice address
218 Pasadena Ave S
Saint Petersburg, FL 33707-1251
Phone
(727) 345-0160
Fax
(727) 345-0100
NPI assigned
Jul 24, 2021
Last updated
Jul 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X APRN11012649 FL Primary

Addresses

Primary practice location

218 Pasadena Ave S
Saint Petersburg, FL 33707-1251

Mailing address

218 Pasadena Ave S
Saint Petersburg, FL 33707-1251
Phone (727) 345-0160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240812003458 FL Practitioner - Nurse Practitioner 6800334640 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11012649FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Care Inc CurrentSince Apr 26, 2024 Accepting new patients

Locations

218 Pasadena Ave S
St Petersburg, FL 33707
Phone (727) 345-0160

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627084800000",
    "number": "1588237705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 PASADENA AVE S",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337071251",
            "telephone_number": "727-345-0160",
            "fax_number": "727-345-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 PASADENA AVE S",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337071251",
            "telephone_number": "727-345-0160",
            "fax_number": "727-345-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHEBZAMANI",
        "first_name": "DELARAM",
        "credential": "DNP FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-24",
        "last_updated": "2021-07-24",
        "certification_date": "2021-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "APRN11012649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.